Dissertations / Theses on the topic 'Medical service events'
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1
Libby, Nicholas. "FALLING DOWN: THE INFLUENCE OF TRAFFIC PATTERNS AND AVAILABILITY OF EMERGENCY MEDICAL SERVICE PERSONNEL ON THE LETHALITY OF VIOL." Master's thesis, University of Central Florida, 2006. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/3110.
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This study investigates the impact of traffic patterns and the availability of emergency medical services on the lethality of violent interpersonal encounters. Key situational and contextual factors are controlled using the criminal events perspective. Data were taken from the 2002 National Incident-Based Reporting System of the FBI, as well as from fire/rescue and EMS services of Memphis, TN, Cincinnati, OH, and Richmond, VA. Additive models of logistic regression analysis revealed that fire/rescue availability, firearm use, incidents arising out of arguments, outdoor locations, and victim gender are the most consistent predictors of whether or not a violent incident will result in a homicide.M.A.
Department of Sociology
Sciences
Applied Sociology
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Johnson, Keith H. "Changing the paradigm: implementation of combined law enforcement, fire, and emergency medical service (EMS) cross-disciplinary response to hostile events." Thesis, Monterey, California: Naval Postgraduate School, 2014. http://hdl.handle.net/10945/44587.
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Approved for public release; distribution is unlimitedOur nation relies on law enforcement, fire, and emergency medical services to protect citizens when confronted with emergent and hostile events. Mass shootings such as those that occurred at Columbine High School; Virginia Tech University; Mumbai, India; and Aurora Movie Theatre in Colorado require first responders to incorporate methods and tactics that integrate operations and challenge first responders to collaborate and operate in a unified manner. This research examines how public safety agencies can effectively implement a first responder cross-disciplinary plan to better coordinate police, fire, and EMS responses. This study begins with a historical review of past incidents that demonstrate the need for cross-disciplinary teams. Next, new policies that support the use of cross-disciplinary teams are examined. Central to this research was an empirical study of the enablers and barriers to cross-disciplinary teams during a full-scale active shooter exercise. Illustrative findings among the participants in the exercise include a moderately high level of confidence in the concept and use of cross-disciplinary teams, the ability of various disciplines to trust each other’s ability to work together, and the ability to communicate and share information. To establish and enhance the cross-disciplinary response, joint operational policies and procedures must be established.
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Freiberg, Jill Maree, and n/a. "Topical Talk in General Practice Medical Consultations: The Operation of Service Topics in the Constitution of Orderly Tasks, Patients and Service Providers." Griffith University. School of Cognition, Language and Special Education, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20041012.125934.
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This research project addresses the following: how topical talk operates in the organisation and management of MSE interactions; and how topical talk operates in the co-ordination of specific service requests and service provisions. It draws on a corpus of audio-recorded and transcribed interactions between general practitioners and persons seeking general medical services in suburban clinics in Brisbane, Australia. The corpus comprised a total of 67 medical service events (henceforth MSEs), audio-taped with the full informed consent of the participants. Many contemporary medical sociological accounts of the operation of topical talk in MSEs, typified by the work of Mishler (1981, 1984) and Waitzkin (1991), remain anchored to the 'professional dominance' thesis (Freidson 1970a; 1970b), arguing for the fundamental conflict between two perspectives - lay and professional. Topical talk has been formulated as one expression of this conflict in 'doctor-centred' communicative 'styles' (Byrne and Long 1976; Silverman 1987). Within such accounts, familiar interactional patterns in MSEs, including the content and structure of topics, have been theorised as instruments of power and control whereby the dominance of specialised medical knowledge and expertise are established and maintained. Mishler's (1984) characterisation of the conflict between a biomedically oriented 'voice of medicine' used by professional physicians (henceforth GPs) and a 'voice of the lifeworld' used by persons seeking medical services (henceforth Ps) is an expression of the 'professional dominance' thesis. The voices are characterised as attesting to a fundamental, theoretically problematic, asymmetry of power relations between GPs and Ps, thereby reinforcing the ideological status of professionals in general and the medical profession in particular. Further, recommendations regarding correctives to 'professional dominance' centre on advice GPs to attend to the primacy of Ps' talk on their experiences of illnesses rather than apparently 'ignoring' or transforming these topics into biomedical accounts of disease. This research project critiques this formulation of topical talk and the traditional theoretical and empirical bases on which it has drawn. This critique arises from the application of ethnomethodological approaches to the study of MSEs. Such approaches, as outlined in Chapters 2 and 3, are characterised by a number of conceptual and analytic premises: First, particular social structural features of social activities and the institutional contexts within which activities occur should not be assumed to be the primary criteria for judging the import and adequacy of situated action. Second, the parties to situated social events mutually constitute those events in the real world. Third, issues of agency are collaborative situated accomplishments such that the management of everyday social activities is accomplished by the people involved who show one another the rationalities of their actions as they assemble the familiar scenic features of those same institutional events (Garfinkel 1967; Sacks 1992a, 1992b). These assumptions have been applied in ethnomethodological analyses of social action, including the analysis of professional service encounters that have critiqued the 'professional dominance' thesis (Eglin and Wideman 1986; Sharrock 1979). The novelty of this study is the analysis of the operation of topic organisation as a phenomenon of order. This study also draws on recommendations within Ethnomethodology (Hester & Eglin 1997b; Watson 1997) that sequential and categorial organisations are mutually informative in the analysis of the rationality of situated social action. One of the particular contributions of this thesis is that it not only jointly applies both conversation analysis and membership categorisation analysis but also extends this recommendation to the inclusion of topic analysis as was originally provided for by Sacks (1992a , 1992b) and Garfinkel and Sacks (1970). Within this study a model of analysis has been constructed that has enabled the analytical consideration of four dimensions of social organisation: local sequential, extended sequential, topical and categorial organisations. The theoretical and empirical concepts of ethnomethodogical analysis have thus been developed and extended within this project. The central findings of this study are that in institutional service events, the 'service topic' is both significant and consequential, and that persons constitute themselves as bona fide incumbents of the categories GP or P by attending to their actions as topically organised. The local adequacy of any particular interactional move (such as questioning-answering, greetings, the design of a topic proposal, etc) is shown to be referenced to the service topic. This study found no evidence of potential or actual "struggles" between the 'voice of the life-world and the voice of medicine'. Rather, this study finds routine recognition on the part of both Ps and GPs of the centrality of the service topic and, thereby, the service task, and no evidence of orientation to distinctive biographical contributions staged in competition with biomedically relevant service topics. It is found that Ps' biographical references were made in the context of an assembled service topic such that particular service tasks, however conventional, were constituted as both relevant and reasonable as medical goods and service for the specific service recipient and provider. At the most general level, it is concluded that the service topic operates as a phenomenon of order in MSEs where order, as defined by Garfinkel and Weider (1992: 202), refers to all of the rationalities evident in the generic features of institutional events and settings, that is, the situated logic and intelligibility as well as the procedures whereby they are constituted as recognisable social events. The thesis concludes with a discussion of the implications of the findings for the theorisation, policy-making, medical education, and practices of GPs and Ps within MSEs. Overall, the significance of this work for researchers into medical interactions is that the relevance of the service topic and its pervasive organisational consequences need to be considered analytically. A major outcome of this thesis is the establishment of a new order of interest within the study of institutional interactions. The project demonstrates the pervasive consequences of service topics and thus provides a step forward in the study of institutional service interactions and ways of theorising their rationality, a step that extends beyond social structural pre-theorisations of power and domination and also beyond interactional accounts of the primary relevance of turn taking structures.
4
Freiberg, Jill Maree. "Topical Talk in General Practice Medical Consultations: The Operation of Service Topics in the Constitution of Orderly Tasks, Patients and Service Providers." Thesis, Griffith University, 2003. http://hdl.handle.net/10072/366054.
Full textAbstract:
This research project addresses the following: how topical talk operates in the organisation and management of MSE interactions; and how topical talk operates in the co-ordination of specific service requests and service provisions. It draws on a corpus of audio-recorded and transcribed interactions between general practitioners and persons seeking general medical services in suburban clinics in Brisbane, Australia. The corpus comprised a total of 67 medical service events (henceforth MSEs), audio-taped with the full informed consent of the participants. Many contemporary medical sociological accounts of the operation of topical talk in MSEs, typified by the work of Mishler (1981, 1984) and Waitzkin (1991), remain anchored to the 'professional dominance' thesis (Freidson 1970a; 1970b), arguing for the fundamental conflict between two perspectives - lay and professional. Topical talk has been formulated as one expression of this conflict in 'doctor-centred' communicative 'styles' (Byrne and Long 1976; Silverman 1987). Within such accounts, familiar interactional patterns in MSEs, including the content and structure of topics, have been theorised as instruments of power and control whereby the dominance of specialised medical knowledge and expertise are established and maintained. Mishler's (1984) characterisation of the conflict between a biomedically oriented 'voice of medicine' used by professional physicians (henceforth GPs) and a 'voice of the lifeworld' used by persons seeking medical services (henceforth Ps) is an expression of the 'professional dominance' thesis. The voices are characterised as attesting to a fundamental, theoretically problematic, asymmetry of power relations between GPs and Ps, thereby reinforcing the ideological status of professionals in general and the medical profession in particular. Further, recommendations regarding correctives to 'professional dominance' centre on advice GPs to attend to the primacy of Ps' talk on their experiences of illnesses rather than apparently 'ignoring' or transforming these topics into biomedical accounts of disease. This research project critiques this formulation of topical talk and the traditional theoretical and empirical bases on which it has drawn. This critique arises from the application of ethnomethodological approaches to the study of MSEs. Such approaches, as outlined in Chapters 2 and 3, are characterised by a number of conceptual and analytic premises: First, particular social structural features of social activities and the institutional contexts within which activities occur should not be assumed to be the primary criteria for judging the import and adequacy of situated action. Second, the parties to situated social events mutually constitute those events in the real world. Third, issues of agency are collaborative situated accomplishments such that the management of everyday social activities is accomplished by the people involved who show one another the rationalities of their actions as they assemble the familiar scenic features of those same institutional events (Garfinkel 1967; Sacks 1992a, 1992b). These assumptions have been applied in ethnomethodological analyses of social action, including the analysis of professional service encounters that have critiqued the 'professional dominance' thesis (Eglin and Wideman 1986; Sharrock 1979). The novelty of this study is the analysis of the operation of topic organisation as a phenomenon of order. This study also draws on recommendations within Ethnomethodology (Hester & Eglin 1997b; Watson 1997) that sequential and categorial organisations are mutually informative in the analysis of the rationality of situated social action. One of the particular contributions of this thesis is that it not only jointly applies both conversation analysis and membership categorisation analysis but also extends this recommendation to the inclusion of topic analysis as was originally provided for by Sacks (1992a , 1992b) and Garfinkel and Sacks (1970). Within this study a model of analysis has been constructed that has enabled the analytical consideration of four dimensions of social organisation: local sequential, extended sequential, topical and categorial organisations. The theoretical and empirical concepts of ethnomethodogical analysis have thus been developed and extended within this project. The central findings of this study are that in institutional service events, the 'service topic' is both significant and consequential, and that persons constitute themselves as bona fide incumbents of the categories GP or P by attending to their actions as topically organised. The local adequacy of any particular interactional move (such as questioning-answering, greetings, the design of a topic proposal, etc) is shown to be referenced to the service topic. This study found no evidence of potential or actual "struggles" between the 'voice of the life-world and the voice of medicine'. Rather, this study finds routine recognition on the part of both Ps and GPs of the centrality of the service topic and, thereby, the service task, and no evidence of orientation to distinctive biographical contributions staged in competition with biomedically relevant service topics. It is found that Ps' biographical references were made in the context of an assembled service topic such that particular service tasks, however conventional, were constituted as both relevant and reasonable as medical goods and service for the specific service recipient and provider. At the most general level, it is concluded that the service topic operates as a phenomenon of order in MSEs where order, as defined by Garfinkel and Weider (1992: 202), refers to all of the rationalities evident in the generic features of institutional events and settings, that is, the situated logic and intelligibility as well as the procedures whereby they are constituted as recognisable social events. The thesis concludes with a discussion of the implications of the findings for the theorisation, policy-making, medical education, and practices of GPs and Ps within MSEs. Overall, the significance of this work for researchers into medical interactions is that the relevance of the service topic and its pervasive organisational consequences need to be considered analytically. A major outcome of this thesis is the establishment of a new order of interest within the study of institutional interactions. The project demonstrates the pervasive consequences of service topics and thus provides a step forward in the study of institutional service interactions and ways of theorising their rationality, a step that extends beyond social structural pre-theorisations of power and domination and also beyond interactional accounts of the primary relevance of turn taking structures.Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Cognition, Language and Special Education
Faculty of Education
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Johnston, Janice Mary. "Ambulatory care: a comparison of event and episode utilisation patterns." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31237125.
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O'Connor, Patricia. "Looking for harm in healthcare : can Patient Safety Leadership Walk Rounds help to detect and prevent harm in NHS hospitals? : a case study of NHS Tayside." Thesis, University of St Andrews, 2012. http://hdl.handle.net/10023/2804.
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Today, in 21st century healthcare at least 10% of hospitalised patients are subjected to some degree of unintended harm as a result of the treatment they receive. Despite the growing patient safety agenda there is little empirical evidence to demonstrate that patient safety is improving. Patient Safety Leadership Walk Rounds (PSLWR) were introduced to the UK, in March 2005, as a component of the Safer Patients Initiative (SPI), the first dedicated, hospital wide programme to reduce harm in hospital care. PSLWR are designed, to create a dedicated ‘conversation’ about patient safety, between frontline staff, middle level managers and senior executives. This thesis, explored the use of PSLWR, as a proactive mechanism to engage staff in patient safety discussion and detect patient harm within a Scottish healthcare system- NHS Tayside. From May 2005 to June 2006, PSLWR were held on a weekly basis within the hospital departments. A purposive sample, (n=38) of PSLWR discussions were analysed to determine: staff engagement in the process, patient safety issues disclosed; recognition of unsafe systems (latent conditions) and actions agreed for improvement. As a follow-up, 42 semi-structured interviews were undertaken to determine staff perceptions of the PSLWR system. A wide range of clinical and non-clinical staff took part (n=218) including medical staff, staff in training, porters and cleaners, nurses, ward assistants and pharmacists. Participants shared new information, not formally recorded within the hospital incident system. From the participants perspectives, PSLWR, were non threatening; were easy to take part in; demonstrated a team commitment, from the Board to the ward for patient safety and action was taken quickly as a result of the ‘conversations’. Although detecting all patient harm remains a challenge, this study demonstrates PSLWR can be a useful tool in the patient safety arsenal for NHS healthcare organisations.
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Pan, Yuhan. "Examining Opioid-related Overdose Events in Dayton, OH using Police, Emergency Medical Services and Coroner’s Data." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586441323153728.
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Andel, Stephanie A. "The Impact of Traumatic Event Exposure in the Emergency Medical Services: A Weekly Diary Study." Scholar Commons, 2017. https://scholarcommons.usf.edu/etd/7391.
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Emergency Medical Service (EMS) professionals are consistently exposed to a variety of traumatic events on the job, such as cases that involve the death or injury of a patient, being physically threatened, or encountering a mass casualty incident. Not surprisingly, research has found that such traumatic exposure has major implications, as it has been related to a plethora of negative strain outcomes such as posttraumatic stress (PTS) symptoms and burnout. However, at this point, research has not empirically examined the mechanisms by which these traumatic events lead to strain. Therefore, this study aims to further investigate these mechanisms by incorporating the role that emotion regulation (i.e., expressive suppression) plays in this process. Further, this study investigates various moderators in this process, including one individual difference factor (i.e., implicit theories about emotion expression) and two contextual factors (i.e., social support and organizational constraints).
To test the links in the aforementioned process, a weekly diary study was conducted online with 200 current EMS professionals. Specifically, participants completed a baseline survey (Time 0) that measured trait-level variables and demographics. Then, participants completed 10 weekly diary studies that included measures of exposure to traumatic events, negative affective reactions, expressive suppression, and strain outcomes. Multilevel structural equation modeling was used to test the study hypotheses.
Results of this study show that within person, traumatic event exposure was related to strain. Further, although traumatic event exposure was not consistently related to expressive suppression, the positive link between expressive suppression and strain was consistent. Additionally, organizational constraints were found to serve as a moderator in the relationship between expressive suppression and strain, such that higher organizational constraints exacerbate this relationship. Overall, these results provide a better understanding of the process that links traumatic event exposure to strain in the EMS profession. This research has implications for organizations, as it examines various factors that may be addressed in order to ensure that EMS professionals are better equipped to deal with these unfortunate exposures. Ultimately, the results of this study will hopefully prove helpful in devising interventions to enhance the wellbeing of EMS professionals in the wake of exposure to traumatic events.
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Zuerlein, Scott A. "Predicting the medical management requirements of large scale mass casualty events using computer simulation." [Tampa, Fla] : University of South Florida, 2009. http://purl.fcla.edu/usf/dc/et/SFE0002836.
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Coronel, Gabriela V. "Long-Term Sustainment of Rapid Improvement Events: A Case Study in “Room Readiness”." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/honors/382.
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Shifting payment models from fee for service (FFS) to pay for performance (P4P) have fundamentally changed the environment of healthcare administration in the United States (Center for Medicaid and Medicare Services (CMS), 2011). Due to this shift, there has been an increase in demand for tracking and improving quality measures to ensure not only patient safety, but optimization of utilization. Constraints on resources and capacity, coupled with increasing safety measures has developed a new study of patient flow (Miró, Sánchez, Espinosa, et al., 2003). Decreasing patient room turnover times has the potential to maximize utilization while ensuring patient safety and quality (Dyrda, 2012). LEAN and A3 Methodology were applied to create a process improvement initiative at a 500-bed regional medical center (RMC). Using a Rapid Improvement Event (RIE), efforts were made to identify gaps and improve processes to address issues which prevented patients from being in the right place, for the appropriate amount of time, and patient rooms cleaned in a timely manner. These gaps prevented adequate patient flow in the RMC. After tracking the implemented improvements for a year, the RMC ceased following the newly designed process. This study examines the original RIE, factors that changed since the event, and additional process improvements made two years post-RIE.
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Fernandez, Antonio Ramon. "An Assessment of the Relationship between Emergency Medical Services Work-life Characteristics, Sleepiness, and the Report of Adverse Events." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1305595940.
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Jafarbigloo, Azita. "Optimization and Simulation of the Medical Device Sterilization in Hospitals." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42415.
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There is no doubt Medical Devices have a crucial role in hospital processes such as surgeries and therapeutic procedures. Medical devices available in hospitals are of two types; reusable and non-resalable medical devices. Reusable medical devices are washed and sterilized after each use. The process of sterilizing medical devices is performed in the sterilization department. Each medical device travels through a cycle each time it is utilized. It is explicit that any part of the sterilization cycle that delays the process can cause serious problems for hospitals’ performance. The washing step of the sterilization process has been a bottleneck in the system. Thus, optimization approaches can be highly advantageous to improve this bottleneck. The data of the medical devices are usually unknown prior to the scheduling process since the finishing time of the surgeries are not known in advance. Thus, there is no information available on the ready time of medical devices to be sterilized. Due to this factor, to develop applicable solutions, it is critical to consider this problem as an online problem and develop online scheduling methods. In this thesis, we take advantage of mathematical programming and heuristic algorithms to solve both the offline and online settings of the problem. We model the washing step of the sterilization cycle as a scheduling problem. Batch scheduling and bin packing, two well-known optimization approaches, are used for this purpose. Medical devices are batched together first and then scheduled on machines to reduce the total washing time of all medical devices. First, a mathematical model for the offline problem is provided and tested to solve the problem. Then a series of heuristic algorithms are developed using the batch scheduling approach for solving both offline and online problems. Moreover, a special case with divisible job sizes and equal release dates is studied. It was proved that for the strongly divisible sequence the First Fit Increasing algorithm finds the optimal solution, also for the weakly divisible sequence a Dynamic Programming algorithm is developed. Finally, we couple optimization with simulation to test the impact of the optimization of the washing step on the entire sterilization system. Moreover, since the next step of the sterilization cycle, the sterilization step, is very similar to the washing step, we also implement the developed heuristics in this step to evaluate its performance and improve it further. The results show that as long as the washing step is optimized it does not differ which algorithm is used in the sterilization step, thus, the optimization of this step is not necessary.
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Anagnostou, Anastasia. "A distributed simulation methodology for large-scale hybrid modelling and simulation of emergency medical services." Thesis, Brunel University, 2014. http://bura.brunel.ac.uk/handle/2438/11218.
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Healthcare systems are traditionally characterised by complexity and heterogeneity. With the continuous increase in size and shrinkage of available resources, the healthcare sector faces the challenge of delivering high quality services with fewer resources. Healthcare organisations cannot be seen in isolation since the services of one such affects the performance of other healthcare organisations. Efficient management and forward planning, not only locally but rather across the whole system, could support healthcare sector to overcome the challenges. An example of closely interwoven organisations within the healthcare sector is the emergency medical services (EMS). EMS operate in a region and usually consist of one ambulance service and the available accident and emergency (A&E) departments within the coverage area. EMS provide, mainly, pre-hospital treatment and transport to the appropriate A&E units. The life-critical nature of EMS demands continuous systems improvement practices. Modelling and Simulation (M&S) has been used to analyse either the ambulance services or the A&E departments. However, the size and complexity of EMS systems constitute the conventional M&S techniques inadequate to model the system as a whole. This research adopts the approach of distributed simulation to model all the EMS components as individual and composable simulations that are able to run as standalone simulation, as well as federates in a distributed simulation (DS) model. Moreover, the hybrid approach connects agent-based simulation (ABS) and discrete event simulation (DES) models in order to accommodate the heterogeneity of the EMS components. The proposed FIELDS Framework for Integrated EMS Large-scale Distributed Simulation supports the re-use of existing, heterogeneous models that can be linked with the High Level Architecture (HLA) protocol for distributed simulation in order to compose large-scale simulation models. Based on FIELDS, a prototype ABS-DES distributed simulation EMS model was developed based on the London EMS. Experiments were conducted with the model and the system was tested in terms of performance and scalability measures to assess the feasibility of the proposed approach. The yielded results indicate that it is feasible to develop hybrid DS models of EMS that enables holistic analysis of the system and support model re-use. The main contributions of this thesis is a distributed simulation methodology that derived along the process of conducting this project, the FIELDS framework for hybrid EMS distributed simulation studies that support re-use of existing simulation models, and a prototype distributed simulation model that can be potentially used as a tool for EMS analysis and improvement.
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Yankov, Daniel Y. "Discrete Event System Modeling Of Demand Responsive Transportation Systems Operating In Real Time." Scholar Commons, 2008. https://scholarcommons.usf.edu/etd/575.
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Demand responsive transportation is a variable route service of passengers or freight from specific origin(s) to destination(s) in response to the request of users. Operational planning of DRT system encompasses the methods to provide efficient service to the passengers and to the system operators. These methods cover the assignments of vehicles to transportation requests and vehicle routings under various constraints such as environmental conditions, traffic and service limitations. Advances in the information and communication technologies, such as the Internet, mobile communication devices, GIS, GPS, Intelligent Transportation Systems have led to a significantly complex and highly dynamical decision making environment. Recent approaches to DRT operational planning are based on "closed information loop" to achieve a higher level of automation, increased flexibility and efficiency.
Intelligent and effective use of the available information in such a complex decision making environment requires the application of formal modeling and control approaches, which are robust, modular and computationally efficient. In this study, DRT systems are modeled as Discrete Event Systems using Finite Automata formalism and DRT real time control is addressed using Supervisory Control Theory. Two application scenarios are considered; the first is based on air-charter service and illustrates uncontrolled system model and operational specification synthesis. The automatic synthesis of centralized and modular supervisors is demonstrated. The second scenario is a mission critical application based on emergency evacuation problem. Decentralized supervisory control architecture suitable for accommodating the real-time contingencies is presented.
Conditions for parallel computation of local supervisors are specified and the computational advantages of alternative supervisory control architectures are discussed. Discrete event system modeling and supervisory control theory are well established and powerful mathematical tools. In this dissertation, they are shown to be suitable for expressing the modeling and control requirements of complex and dynamic applications in DRT. The modeling and control approaches described herein, coupled with the mature body of research literature in Discrete Event Systems and Supervisory Control Theory, facilitate logical analysis of these complex systems and provide the necessary framework for development of intelligent decision making tools for real time operational planning and control in a broad range of DRT applications.
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Nilsson, Andreas. "Sport informatics : exploring IT support for spectators at sporting events /." Göteborg : Dept. of Informatics, Göteborg University, 2005. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=014734930&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Muntermann, Jan. "Event-driven mobile financial Information-Services : design of an intraday decision support System /." Wiesbaden : Dt. Univ.-Verl, 2007. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=016494719&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Scharfe, Saskia M. "Eventmarketing - Urheber- und gewerblicher Rechtsschutz /." Hamburg [u.a.] : Lit-Verl, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=014762115&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Nufer, Gerd. "Event-Marketing und -Management : Theorie und Praxis unter besonderer Brücksichtigung von Imagewirkungen /." Wiesbaden : Dt. Univ.-Verl, 2007. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015707877&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Friedrich, Lars. "Strategic decisions regarding the vertical integration of financial service providers /." [S.l. : s.n.], 2007. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=016219673&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Bräuchle, Susanne B. "Potenziale eines Groß-Events für den Tourismus am Beispiel der FIFA WM 2006 und der Stadt Frankfurt /." München : GRIN-Verl, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=017549108&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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van, Wincoop Sven. "Analysis of Learning from IncidentsProcesses in Swedish and DutchHealthcare Systems : A Mixed Methods Study for Cross-Border Learning." Thesis, KTH, Skolan för kemi, bioteknologi och hälsa (CBH), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-302464.
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Many healthcare organisations face repetitive incidents because organisations tend to fail to learn from the past. Learning from incidents (LFI) in healthcare is a process through which healthcare professionals and the organisation as a whole seek to understand adverse events that have taken place. The LFI process consists of five main steps: data acquisition, investigation and analysis, planning interventions, implementing interventions, and evaluations. In order to reduce the reoccurrence of incidents, it is important that LFI processes are improved. As a prerequisite, it is necessary to gain insight into the steps of the LFI process to identify hindrances (bottlenecks) and mitigate them. This thesis is a broad comparative study of the LFI processes in Dutch and Swedish healthcare systems. Cross-border comparisons between LFI systems can support mutual learning, and consequently lead to improvements of healthcare organisations’ learning processes. The study consists of an analysis of Swedish and Dutch legislation, national healthcare inspectorates, and hospitals’ learning from incidents processes. Legislation was analysed through a (legal) documentation study. Healthcare inspectorates’ practices in LFI were analysed by a combination of documentation studies, and by conducting interviews with one Dutch inspector, one Swedish inspector, and one Swedish development strategist. For analysis of hospitals’ LFI processes, a questionnaire and interview study with fourteen Dutch and eleven Swedish hospitals were conducted. Analysis of these processes was done at the hand of a number of quality statements developed based on a literature study. The main differences between how the two countries’ learn from incidents are in data acquisition, and investigation and analysis. The Netherlands have various reporting systems, as well as diversity in incident investigation methods. Sweden has more uniformity in these matters. Moreover, Sweden has a national system for sharing lessons learned between hospitals, which can benefit the learning process on a national level. The Netherlands currently does not have such a system. Sweden and the Netherlands have similar strengths and weaknesses in LFI. Both countries have accessible data acquisition systems, and it does not take much time to report incidents. There are however significant disparities between incidents and sentinel events in both countries in the quality of investigations and analyses, planning of interventions and implementation of interventions. The implementation and evaluation phases are also regarded to have the lowest quality, based on analysis of the quality statements. Dutch and Swedish legislation and the supervision of the healthcare inspectorates only cover these last two phases to a limited extent. Requirements with respect to incidents are also only formulated to a limited extent (except data acquisition), which may explain the significant difference of quality when compared to sentinel events. There are resemblances between the scopes of the legal frameworks and inspectorates, and the LFI processes in hospitals. There is therefore reason to believe that hospitals typically do not excel above what is required by legislation or by the healthcare inspectorates.I många vårdorganisationer upprepar sig incidenter eftersom organisationer tenderar att misslyckas med att lära sig från incidenter. Att lära från incidenter (LFI) inom hälso- och sjukvården är en process genom vilket vårdpersonal och organisationen som helhet försöker förstå incidenter som har ägt rum. LFI-processen består av fem huvudsteg: datainsamling, utredning och analys, planering av åtgärder, implementering av åtgärder, och utvärderingar. För att minska upprepande av incidenter är det viktigt att LFIprocesser förbättras. Det här examensarbetet är en jämförande studie av LFI-processerna i holländska och svenska sjukvårdssystem. Gränsöverskridande jämförelser mellan LFI-system kan stödja ömsesidigt lärande och därmed leda till förbättringar av vårdorganisationernas lärande. Studien består av en analys av svensk och holländsk lagstiftning, nationella inspektioner och sjukhusens lärande från incidensprocesser. Lagstiftningen analyserades genom en (juridisk) dokumentationsstudie. Sjukvårdsinspektionernas praxis i LFI analyserades med en kombination av dokumentationsstudier och genom att göra intervjuer med en holländsk inspektör, en svensk inspektör och en svensk utvecklingsstrateg. För analys av sjukhusens LFI-processer genomfördes en enkätstudie och intervjustudie med 14 holländska och 11 svenska sjukhus. Analysen genomfördes med ett kvalitetsindikatorer som är baserade på en litteraturstudie. De viktigaste skillnaderna mellan hur de två länderna lär sig av incidenter är inom datainsamling och incidentutredning. I Nederländerna används många olika rapporteringssystem och utredningsmetoder för händelser. Sverige har mer enhetlighet i dessa frågor. Dessutom har Sverige ett nationellt system för att dela lärdomar mellan sjukhusen, vilket kan gynna lärningsprocessen på nationell nivå. Nederländerna har för närvarande inget liknande system. Sverige och Nederländerna har liknande styrkor och svagheter i LFI. Båda länderna har tillgängliga datainsamlingssystem och det tar inte mycket tid att rapportera incidenter. Det finns betydliga skillnader mellan incidenter och händelser som har medfört allvarliga vårdskador i båda länderna. Detta gäller kvaliteten på utredningar, planering av åtgärder och implementering av årgärder. Implementerings- och utvärderingsfaserna anses ha lägsta kvalitet, baserat på analys av kvalitetsindikatorerna. Holländsk och svensk lagstiftning och tillsynen av inspektionerna täcker dessa två sista faser endast i begränsad utsträckning. Krav på incidenter formuleras också endast i begränsad omfattning (förutom datainsamling), vilket kan förklara skillnaden i kvalitet jämfört med händelser som har medfört en allvarlig vårdskada. Det finns likheter mellan räckvidden av lagstiftningen och inspektionen, och LFIprocesserna på sjukhus i både länder. Det finns därför anledning att tro att sjukhus vanligtvis inte utmärker sig högre än vad som krävs enligt lagstiftningen eller av hälsooch sjukvårdsinspektionerna.
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Aboueljinane, Lina. "Evaluation et amélioration des performances des Systèmes d'Aide Médicale Urgente : application au SAMU du département du Val de Marne." Thesis, Châtenay-Malabry, Ecole centrale de Paris, 2014. http://www.theses.fr/2014ECAP0037/document.
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Le travail de recherche présenté dans cette thèse est l’un des premiers dans le domaine de la gestion optimisée des services d’aide médicale urgente en France. Il est conduit dans le cadre d’un projet ANR qui vise à proposer de nouveaux scénarios d’organisation pour le SAMU du département du Val-de-Marne pour offrir aux patients l’accès adapté aux soins, tout en disposant de ressources limitées. Pour cela, nous développons un modèle de simulation à évènements discrets qui modélise et évalue la performance actuelle de ce système complexe et identifie des pistes d’amélioration susceptibles de réduire la durée entre la réception de l’appel et l’arrivée d’une équipe sur le lieu de l’accident, appelé temps de réponse, qui est un aspect critique dans les systèmes d’urgence pré-hospitaliers. Ce modèle de simulation est utilisé pour quantifier l’impact de divers scénarii se rapportant aux nombres de ressources humaines et matérielles, à la localisation de ces ressources à travers le territoire du Val-de-Marne de manière statique et à l’affectation de ces ressources aux interventions. En outre, nous avons effectué des analyses de sensibilité sur différents paramètres du modèle comme le nombre d’appels reçus, les temps de trajet et les temps de service. Finalement, nous avons utilisé deux approches d’optimisation par simulation afin d’étudier l’impact de la relocalisation des équipes dans différentes bases du département plusieurs fois dans une journée afin de tenir compte des fluctuations des temps de trajet et du nombre de ressources. Les résultats de ces deux approches ont été analysés puis comparés au regard des temps de calcul et de la distribution du temps de réponseThe research addressed in this thesis is one of the first studies to address the Emergency Medical Service in France, known as SAMU (which stands for the French acronym of Urgent Medical Aid Services). It is funded by the French National Research Agency and aims at improving the organizational processes of the Val-de-Marne department SAMU system in order to meet the population’s needs under limited resources. For this purpose, we develop a discrete event simulation model in order to assess the current performance of this complex system, as well as to investigate the effects of potential process changes that would lead to enhanced operational efficiency, in terms of response time performance (i.e. the period between the receipt of a call and the first arrival of a rescue team at the scene), which is a critical aspect for SAMU providers. This model was used as a decision-support tool for comparing the relative benefits of several scenarios mainly related to the needed resource levels and static location of rescue teams throughout the Val-de-Marne area and their assignment to incoming calls. Sensivity analyses were also performed by changing values of some input parameters such as arrival rates of calls, travel times and service times. Finally, we used two simulation optimization approaches to analyze the impact of rescue teams assignment to bases by considering temporal fluctuations of travel times and number of resources during a day. Experimental results of the two approaches were analyzed and compared regarding computational times and response time distribution
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Neidig, Jörg. "An automata theoretic approach to modular diagnosis of discrete-event systems /." Norderstedt : Books on Demand, 2007. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=016571312&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Sivonen, Päivi Helena. "Event related brain activation in speech perception: from sensory to cognitive processes /." Leipzig : MPI for Human Cognitive and Brain Sciences, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015683097&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Rosen, Paul. "Sport-Mega-Event : ein Garant für Wirtschaftswachstum? Eine Untersuchung der FIFA-WM 2006 /." München : GRIN-Verl, 2008. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=017549161&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Stiller, Patrick. "Gründe für Desinvestitionen : eine Event-History-Analyse unter besonderer Berücksichtigung des Entscheidungsverhaltens des Managements /." Wiesbaden : Dt. Univ.-Verl, 2007. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=016094654&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA.
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Albers, Aline. "Sport als Imageträger im Tourismus : Auswirkungen und Chancen von Sportevents für Destinationen - untersucht am Beispiel der Deutschland-Tour /." Paderborn : Fach Geographie, Univ, 2004. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=013018967&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Haupt, Friederike Sophie. "The component mapping problem: an investigation of grammatical function reanalysis in differing experimental contexts using event related brain potentials /." Leipzig : Max Planck Institute for Human Cognitive and Brain Sciences, 2008. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=017029143&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Petitdemange, Eva. "SAMUFLUX : une démarche outillée de diagnostic et d'amélioration à base de doubles numériques : application aux centres d'appels d'urgence de trois SAMU." Thesis, Ecole nationale des Mines d'Albi-Carmaux, 2020. http://www.theses.fr/2020EMAC0012.
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L’engorgement des structures d’urgence médicale est une réalité à laquelle les SAMU (Service d’Aide Médicale Urgente) n’échappent pas (5 à 15% d’augmentation des appels par an). De récents événements comme la pandémie de Covid-19 montrent les limites du système actuel pour faire face aux situations de crise. Le renfort en moyens humains ne peut être la seule solution face à ce constat et il devient incontournable de construire de nouveaux modèles organisationnels tout en visant une qualité de service permettant de répondre à 99% des appels entrants en moins de 60 secondes. Toutefois, ces modèles doivent prendre en compte la grande hétérogénéité des SAMU et de leur fonctionnement. A la lumière de ces constats, le travail de recherche présenté dans ce manuscrit a pour but d'évaluer l'efficacité organisationnelle et la résilience des SAMU dans la prise en charge des flux d'appels téléphoniques d'urgence pour faire face au quotidien et aux situations de crise. Cette évaluation nous permet de proposer et de tester de nouveaux schémas organisationnels afin de faire des préconisations adaptées aux particularités des centres d'appels d'urgence. Dans une première partie, nous proposons une méthodologie outillée pour le diagnostic et l'amélioration des centres d'appels d'urgence. Elle se décompose en deux grands volets : l'étude des données issues des centres d'appel d'urgence puis la conception et l'utilisation d'un double numérique. Pour chaque étape de cette méthodologie, nous proposons un outil associé. Dans une seconde partie, nous appliquons le premier volet de la méthodologie aux données de nos SAMU partenaires. Il s'agit d'être capable d'extraire de l'information et des connaissances des données de téléphonies ainsi que des processus métiers pour le traitement des appels d'urgence. La connaissance ainsi extraite permet de concevoir un double numérique qui soit proche du comportement réel des SAMU. Enfin dans une troisième partie, nous utilisons la matière produite précédemment pour modéliser et paramétrer un double numérique déployé sur un moteur de simulation à événements discret. Il nous permet de tester plusieurs scénarios en jouant sur différentes organisations de gestion de l'appel. Grâce à cela, nous faisons des préconisations sur les types d'organisations à adopter afin d'améliorer les performances des centres d'appelThe demand for emergency medical services has been significant and increasing over the last decade. In a constrained medico-economic context, the maintenance of operational capacities represents a strategic strake in front of the risk of congestion and insufficient accessibility for the population. Recent events such as the COVID-19 pandemic show the limits of the current system to face crisis situations. Reinforcement in human resources cannot be the only solution in front of this observation and it becomes unavoidable to build new organizational models while aiming at a quality of service allowing to answer 99% of the incoming calls in less than 60 seconds (90% in 15s and 99% in 30s MARCUS report and HAS recommendation October 2020). However, these models must take into account the great heterogeneity of EMS and their operation. In the light of these findings, the research work presented in this manuscript aims to evaluate the organizational effiectiveness and resilience of EMS in managing the flow of emergency telephone calls to deal with daily life and crisis situations. This evaluation allows us to propose and test new organizational schemes in order to make recommendations adpated to the particularities of emergency call centers. In a first part, we propose a methodology equipped for the diagnosis and improvement of emergency call centers. It can be broken down into two main parts: the study of data from emergency call centers, and then the design and use of a dual digital system. For each step of this methodology, we propose an associated tool. In a second part, we apply the first part of the methodology to our partner EMS data. The aim is to be able to extract information and knowledge from the telephony data as well as from the business processes for handling emergency calls. The knowledge thus extracted makes it possible to design a digital duplicate that is close to the real behavior of the EMS. Finally, in a third part, we use the material produced previously to model and parameterize a digital duplicate deployed on a discrete event simulation engine. It allows us to test several scenarios by playing on different call management organizations. Thanks to this, we make recommendations on the types of organizations to adopt in order to improve the performance of call centers
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Hagtvedt, Reidar. "Applications of Decision Analysis to Health Care." Diss., Georgia Institute of Technology, 2007. http://hdl.handle.net/1853/22535.
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This dissertation deals with three problems in health care. In the first, we consider the incentives to change prices and capital levels at hospitals, using optimal control under the assumption that private payers charge higher prices if patients consume more hospital services. The main results are that even with fixed technology, investment and prices exhibit explosive growth, and that prices and capital stock grow in proportion to one another.
In the second chapter, we study the flow of nosocomial infections in an intensive care unit. We use data from Cook County Hospital, along with numerous results from the literature, to construct a discrete event simulation. This model highlights emergent properties from treating the flow of patients and pathogens in one interconnected system, and sheds light on how nosocomial infections relate to hospital costs. We find that the system is not decomposable to individual systems, exhibiting behavior that would be difficult to explain in isolation.
In the third chapter, we analyze a proposed change in diversion policies at hospitals, in order to increase the number of patients served, without an increase in resources. Overcrowding in hospital emergency departments is caused in part by the inability to send patients to main hospital wards, due to limited capacity. When a hospital is completely full, the hospital often goes on ambulance diversion, until some spare capacity has opened up. Diversion is costly, and often leads to waves of diversions in systems of hospitals, a situation that is regarded as highly problematic in public health. We construct and analyze a continuous-time Markov chain model for one hospital. The intuition behind the model is that load-balancing between various hospitals in a metro area may hinder full congestion. We find that a more flexible contract may benefit all parties, through the partial diversion of federally insured patients, when a hospital is very close to full. Discrete event simulation models are run to assess the effect, using data from DeKalb Medical Center, and also to show that in a two-hospital system, more federally insured patients are served using this mechanism.
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Marshall, Carol. "Modelling the shift in the balance of care in the NHS." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/20350.
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The concept of Shifting the Balance of Care was first introduced to NHS Scotland in 2005 through the Kerr Report. The key messages from the report were to: ensure sustainable and safe local services, which are supported by the right skills, change the emphasis of care into the community, provide preventative reactive care, and fully integrate the system to tackle the changes, use technology more effectively, and involve the public in finding solutions to change. Following the report, a framework was developed which highlighted and prioritised eight areas of improvement. These areas for improvement are the focus by which this research examines if Operational Research (OR), specifically OR models, can have a positive impact in Shifting the Balance of Care. The research utilises underlying OR methodologies and methods and provides evidence from the literature of the ability of nine selected models to facilitate the Shift in the Balance of Care. A contributing factor to the research is the barriers to implementation of OR models into the NHS. With reference to the literature, the common barriers to implementation of OR models are categorised and used to provide direction to modellers where implementation barriers are more prevalent in some models than in others. The research also provides empirical evidence of three selected models’ (the Lean Methodology, Process Mapping and Simulation, developed over two Case Studies) ability to address and influence the prioritised Improvement Areas, with the addition of a newly developed model: SoApt. The development of SoApt follows the Principles of Model Development derived as a guide to modellers who wish to develop a new model. SoApt is also empirically explored in a Case Study and provides some evidence of the models ability to aid Decision-makers, faced with limited budgets, to choose between options which will Shift the Balance of Care. OR methods and methodologies are examined to ascertain the Roles of Models for each model explored in the Case Studies. Examination of the Roles of Models against the Improvement Areas provided evidence of a models’ ability to address more than one of the priority areas and that models can be used together or sequentially. In addition, with reference to OR methods and methodologies, a theoretical Evaluation Framework is proposed which suggests the User and User Satisfaction is key to the evaluation of a model’s success; positive experiences of the User and Use of the model may help to eliminate some of the barriers to implementation.
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Watson, Susan Brooks. "Clinical utility and incremental validity of brief screening for traumatic event exposure in female university health service patients." Thesis, 2005. http://hdl.handle.net/10125/11895.
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Mode of access: World Wide Web.Thesis (Ph. D.)--University of Hawaii at Manoa, 2005.
Evidence suggests that routine screening of primary care patients for exposure to traumatic life events, and particularly assaultive trauma, may yield both clinical and cost benefits for healthcare systems (e.g., Green, Epstein, Krupnick, & Rowland, 1997; Lecrubier, 2004). However, although advocated by authorities, such screening has yet to be widely adopted. A sample of female university healthcare patients (N = 339) was assessed for exposure to trauma in order to examine several unaddressed issues that may diminish the clinical utility of screening for trauma in primary care patients. First, because the length of the traditional trauma history assessment makes it less acceptable for use in time-pressured primary care settings, the discriminative validity of a brief, self-administered screening question about exposure to trauma, the Structured Clinical Interview for DSM-IV (SCID) posttraumatic stress disorder (PTSD) module's screening question (First, Spitzer, Williams & Gibbon, 1997) was compared to a longer, inventory method of assessment, the Traumatic Life Events Questionnaire (TLEQ, Kubany et al., 2000). Second, because it is unclear whether patients who have experienced assaultive trauma will disclose these experiences when asked in a primary care setting, the relative predictive efficacy of informing respondents that their responses would, or would not be, disclosed to health center personnel was evaluated. Two versions of the brief screening question were assessed across two instructional sets regarding disclosure, to determine each condition's relative classification accuracy for identifying respondents who reported experiences of sexual or physical assault, and/or symptoms of PTSD. The brief screen identified more than three-quarters of the survivors of traumatic assault; and more importantly, identified almost all of the women who reported significant PTSD symptomatology: the inventory method identified only 2 additional women of the 47 who met criteria for PTSD. Although survivors of sexual assault were significantly less likely to disclose their history to their provider, no differences were found for those assault survivors who also reported symptoms of PTSD. Results suggest that a brief screening question about traumatic life events may be an acceptable option in settings where more time-consuming assessment procedures are not practical.
Includes bibliographical references (leaves 83-98).
Electronic reproduction.
Also available by subscription via World Wide Web
x, 98 leaves, bound 29 cm
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CHEN-WEN-YIN and 陳玟吟. "A research on motion strategy towards the construction of safe campus medical services –emergency management of campus medical events crisis and associated legal education." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/40195586272177793807.
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碩士南台科技大學
企業管理系
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School is the main place where the pupils gain knowledge. We all spend sometime here in our lives. Personal health and the public hygiene are two sides in one fact; educators should keep eye open on the public hygiene in school, besides, take care about the pupil’s health. The public hygiene in school is not only one of the key rings for education, but also a basic work for school environment. Schools carry the burden of transmitting the knowledge to the next generation, by having a safe teaching environment, the teachers can put all their concentration on educating. More accidents have turned into some hidden worries, and 85% of the contingencies are caused by incorrect manual operation, mis-judging or ignorance. It’s an important issue on how to pay more attention on preventing the contingencies from occurring and make sure the educators’ and pupils’ safies on the campus. Take a closer look at “the legal practice of the campus”, though it once probed in the safe issue on the campus, it never got involved with the legal issue of the public hygiene on the campus. The accidents may not only lead some injuries to occur to the staffs, but also become a legal responsibility for the school to take. The knowledge for how to keep the people’s safeties and avoid the staffs to pay the sentence for penalty of administration is not sufficient around the teaching staffs in schools. In order to ask for better learning environment the parents nowadays challenge and doubt on the management and administration in schools. Keeping the thought of taking precautions in mind for creating a place the pupils can study with no worry is an unforgettable duty for the hygienic education workers. To make sure the safety and health in schools, the teaching staffs expect to deduct the factors for the contingencies to occur, therefore, for sure it is a necessary work to take precautions before the latent dangers happen in reality.
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Lee, Yun-Fei, and 李芸霏. "Educational Events of Novel Cosmetic Procedures and Sales Performance of Aesthetic Medical Services - a Case of Two Clinics in Taiwan." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/57h8b7.
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BARNA, Alexander. "Traumatologická pripravenosť zdravotníckej záchrannej služby v Českej republike a v Slovenskej republike." Master's thesis, 2019. http://www.nusl.cz/ntk/nusl-395606.
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BARNA, Alexander: Trauma readiness of emergency medical services in the Czech Republic and Slovak Republic [Diploma thesis]. University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences. Lecturer: Mgr. Zuzana Freitinger-Skalická, Ph.D. The main topic of this work was the introduction of the issue of trauma readiness of the emergency medical service in the Czech Republic and the Slovak Republic, the issue of emergency events with mass casualty incidents and the mapping of the knowledge and orientation of paramedical personnel in the emergency medical services. The diploma thesis is divided into two major parts - theory and research. The theoretical part introduces legislative norms, regulations and expert recommended procedures, based on which providers of emergency health services ensure their activity and crisis readiness, especially through crisis readiness workplaces. The chosen issue in the research part was the knowledge of the members of the emergency medical services groups solved by the quantitative method - a survey carried out by means of an anonymous non-standardized questionnaire, was prepared individually for the Czech Republic and for the Slovak Republic. From the results of the questionnaire survey it can be deduced that the knowledge of the members of the emergency medical service groups is sufficient, but there is still a need to incorporate the expertise and knowledge of the trauma readiness issues. Above all, finding deficiencies in knowledge, which are used to carry out rescue and liquidation work in dealing with emergency events, is particularly problematic.
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(8071232), Patrick Raymond Glass. "THE EFFECTS OF COMPUTER SIMULATION ON REDUCING THE INCIDENCE OF MEDICAL ERRORS ASSOCIATED WITH MASS DISTRIBUTION OF CHEMOPROPHYLAXIS AS A RESULT OF A BIOTERRORISM EVENT." Thesis, 2019.
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The objective of research is to develop a computer simulation modeltoprovide a means to effectively and efficiently reduce medication errors associated with points of distribution sitesby identifying and manipulating screeners with a high probability of generating errors.Points of distribution sites are used to rapidly distribute chemoprophylaxis to a large population in response to a pandemic event or a bioterrorism attack. Because of the nature of therapid response, points of distribution sites require the use of peer-trained helpers who volunteer their services.The implications are that peer-trained helperscould have a variety of experience or education levels. Thesefactors increase the risk of medical errors. Reducing medical errors is accomplished through changing the means in which healthcare providers are trained and focusing on a team approach to healthcare delivery. Computer simulations have been used in the past to identify sources of inefficiency and potential of error. Data for the model werecollected over the course of two semesters. Of the 349 data points collected from the first semester, only 137 data points were usable for the purposes of modelbuilding. When the experiment was conducted again for the second semester, similar results werefound. The control simulation was run 20 times with each screener generating errors with a probability of 0.101 following a Bernoulli distribution. The variable simulation was run 30 times with each screener generating the same probability of errors; however, the researcher identified the screeners generating the errors and immediately stopped them from processing additional agents once they reached five errors. An ANOVA was conducted on the percent errors generated from each simulation run. The results of the ANOVA showedsignificant difference between individuals within the groups. A simulation model wasbuilttoreflect the differences in medical error rates between screeners. By comparing the results of the simulation as the screeners are manipulated in the system, the model can be used to show how medical errors can be reduced in points of distribution sites
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URBANOVÁ, Pavla. "Analýza připravenosti zdravotnické záchranné služby k řešení mimořádných událostí chemického, biologického, radiačního či nukleárního původu." Master's thesis, 2012. http://www.nusl.cz/ntk/nusl-119448.
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The aim of the dissertation was to assess and evaluate the readiness of the emergency medical services to respond to a potential extraordinary event of a chemical, biological, irradiating or nuclear character. The scope of the dissertation was to map professional, material, technical and legislative preparation in this regard. This data offers an overview of the experiences of emergency personnel from a practical standpoint, gained through action or training, and is enriched by additional specific data from the Emergency Medical Services of the South Bohemian Region. The information gathered for the purpose of authoring the dissertation was obtained by utilisation of quantitative and qualitative research methods. In the case of quantitative research, data was gathered by means of an anonymous questionnaire, where the research file was constituted by physicians and medical emergency personnel. In the case of qualitative research a form of directed interview with the deputy of the crisis management team of the emergency medical services was used.
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Fabel, Berit. "Unterschiede im Stressverarbeitungsmuster bei Knirschern und Nichtknirschern in Abhängigkeit von Live-Events." 2005. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=014731549&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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MELZEROVÁ, Eliška. "Výskyt nežádoucích událostí v nemocnici České Budějovice z pohledu nelékařského zdravotnického personálu." Master's thesis, 2015. http://www.nusl.cz/ntk/nusl-188585.
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Nearly 70 % of adverse events could be prevented. Observing of adverse events is one way for improving the quality of health services and patient safety. The adverse event reporting systems in České Budějovice hospital was mainly subject in the research portion. A mixed research method (qualitatively quantitative) was used for the research portion. The research results are interpreted using tables and graphs.
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Schrank, Michael. "Development of a P2P Java package for a discrete-event simulation of a virtual future home environment /." 2008. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=017186827&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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Turek, Jan. "Analýza zásahů Zdravotnické záchranné služby Hlavního města Prahy za období 2007 - 2009." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-303959.
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Work name: The analysis of the Health Rescue Service City of Prag trips for the period 2007 - 2009 Aim of work: The aim of this work is to describe and assess by graphs the analysis of the Health Rescue Service City of Prag trips in Prag for the period 2007 - 2009. Further to classify its historical progress, describe its current state including the modern equipment and also describe access of resuscitations for the same period. Method: In this work a method of data collection from avaiable literature of the Health Rescue Service City of Prag is used as well as the consultation with experienced rescue workers and people who work on the operation centre and who are processing the data and statistics of the Health Rescue Service City of Prag trips. Results: The result of this work is the graphical representation of the single trips for the urgent life - threatening events and their subsequent comparison for the period 2007 - 2009. There is also the evaluation of the success of interventions. Key words: the Health Rescue Service, the medical emergency, a rescue worker, an emergency event, a sudden cardiac arrest, the resuscitation
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Genzel, Kristin. "Einfluss der Graft-versus-Host Disease und der GvHD-Prophylaxe auf Event-free-Survival und Rezidive nach allogener Stammzelltransplantation bei Kindern mit akuter Leukämie /." 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=015458655&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
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VILDMAN, Radek. "Integrovaný záchranný systém a mimořádné události se zaměřením na činnost Policie ČR." Master's thesis, 2010. http://www.nusl.cz/ntk/nusl-51918.
Full textAbstract:
To deal with and prepare for extraordinary events, the Czech Republic has the Integrated Rescue System, which is not an individual organization as such, but rather a system of co-ordinated activities of basic bodies, namely the Fire-Brigade of the Czech Republic and fire prevention units included in the area coverage, the Police of the Czech Republic and the Medical Rescue Service of the Czech Republic. It is the coordination of the Integrated Rescue System{\crq}s basic bodies what is absolutely essential for the effectiveness of the intervention in the place of an extraordinary event. To make the process of rescue and liquidation work really effective, type activities for the basic bodies during a collective intervention have been put together for selected extraordinary events. These activities focus mainly on the co-ordination of the bodies in the place of the extraordinary event as well as the co-ordination of the related bodies by their operations centres. This thesis aimed to analyze the work of the Czech Police as a body of the Integrated Rescue System in the area of extraordinary events as well as to point out possible insufficiencies and propose some ways of improvement. The findings gained can be used in the professional training of individuals, particularly from the ranks of the Czech Police, which handle the question of dealing with extraordinary events. The thesis includes a list of these type activities approved by the Integrated Rescue System{\crq}s bodies with reference to the effective legal documents and the analysis of responsibilities performed by the Police of the Czech Republic within the individual type activities. The conclusion indicates disparities between the theory and the practice, which arose during the elaboration of the thesis, particularly insufficient knowledge of the type activities on behalf of the policemen and deficient material facilities of the Czech Police as an Integrated Rescue System{\crq}s body, mainly protective aids for performing tasks related to potential contamination of the policemen by various chemical, biological and radioactive substances etc.